Medicare Part D

NSCLC has been a leader in ensuring that the administration of the low-income subsidy is done properly and legally. For example, we were successful in limiting the number of older adults who were reassigned plans in Fall 2010, a disruptive and troublesome practice, by working with others to include needed changes in the Affordable Care Act.

• Many Low-Income Subsidy Clients May Be Paying Premiums
  According to a report from the Kaiser Family Foundation, 1.9 million Low-Income Subsidy (LIS or "Extra Help") recipients are enrolled in Prescription Drug Plans in 2013 that will not qualify as benchmark plans in 2014. This number represents about one...



• 2013 Transition Rights to Medications Under Part D
  2013 Transition Rights to Medications Under Medicare Part D Transition Policy: A Critical Protection. The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of Medicare Part D prescription drug plans provide beneficiaries ...



• No Part D Copayments for Medicaid HCBS Duals
  Effective January 1, 2012, full-benefit dual eligibles receiving Medicaid home and community based services (HCBS) have no Medicare Part D copayments READ MORE -- Information for Advocates. CMS Memo on Part D Waiver for Dual Eligibles.  



• Part D Transition Requirements for 2011
  Medicare Part D Plans have received requirements from the Centers for Medicare and Medicaid Services on transition requirements for beneficiaries. In a handout developed for advocates who help clients with Part D transition issues, NSCLC has set out...



• Medicare Plans Not Posting Translated Materials Leaving Spanish Beneficiaries in the Dark
  Many Medicare Advantage plans and others that offer Medicare prescription drug coverage are not publishing materials in Spanish on their websites as required by their contracts as Medicare providers. This makes it especially difficult for many benefici...



• NSCLC Pushes for Language Access Protections in Health Plan Process
  NSCLC recently commented on interim final regulations establishing internal claims and appeals processes that group and individual health insurance providers must follow. The rules included significant protections for limited English proficient plan en...



• Medicare Part D Exceptions & Appeals: A Practical Guide for Advocates
  This guide provides detailed information for advocates on the Medicare Part D exceptions and appeals processes. Read Exceptions & Appeals Guide (April 2010).



• Best Practices: Serving Limited-English Proficient Medicare Part D Beneficiaries
  Private health plans offering Medicare prescription drug coverage are responsible for providing prescription drug coverage to all qualified Medicare beneficiaries who are proficient in English as well as those whose English proficiency is limited. Read...